Level 5 Musculoskeletal Procedures
In 2024, Medicare and patients paid an average of $12,402 per procedure at 2,213 hospitals. Half of hospitals averaged between $11,345 and $12,814.
Also known as: Orthopedic surgery, arthroscopy, outpatient joint surgery
National figures, 2024
- Average payment per case
- $12,402
- Typical range (middle half of hospitals)
- $11,345–$12,814
- Medicare’s share
- $10,772
- Average billed charge
- $72,739
- Hospitals reporting
- 2,213
Compare hospitals
Narrow by a state, city or ZIP code (optionally a distance around it), and/or pick specific hospitals. With both, your picks are added to the area’s hospitals.
2,207 hospitals reported at least 11 Medicare procedures for this in 2024; showing 501–550. Download as CSV
| Hospital | Cases | Average payment | vs national average | Medicare paid | Billed charge |
|---|---|---|---|---|---|
| Covenant Medical Center | 167 | $11,301 | About average | $9,675 | $43,101 |
| CHI St Lukes Health Memorial Lufkin | 94 | $11,302 | About average | $9,670 | $105,807 |
| Lubbock Heart Hospital Lp | 194 | $11,305 | About average | $9,673 | $48,793 |
| Lovelace Medical Center | 332 | $11,307 | About average | $9,674 | $101,925 |
| Citizens Medical Center | 108 | $11,308 | About average | $9,676 | $32,641 |
| SSM Health DePaul Hospital St Louis | 350 | $11,309 | About average | $9,675 | $38,035 |
| Methodist Hospital | 288 | $11,309 | About average | $9,677 | $129,574 |
| McLeod Health Clarendon | 32 | $11,311 | About average | $9,678 | $74,226 |
| Baylor Scott & White Texas Spine & Joint Hospital | 620 | $11,311 | About average | $9,679 | $62,142 |
| Williamson Medical Center | 515 | $11,312 | About average | $9,680 | $58,072 |
| Legent Orthopedic + Spine | 730 | $11,312 | About average | $9,680 | $91,404 |
| Sentara Leigh Hospital | 999 | $11,313 | About average | $9,682 | $42,320 |
| Guadalupe Regional Medical Center | 109 | $11,316 | About average | $9,684 | $31,403 |
| Riverside Walter Reed Hospital | 97 | $11,318 | About average | $9,686 | $37,719 |
| Memorial Healthcare | 52 | $11,319 | About average | $9,687 | $66,459 |
| Cornerstone Regional Hospital | 113 | $11,319 | About average | $9,687 | $88,996 |
| Sentara Careplex Hospital | 169 | $11,322 | About average | $9,690 | $42,040 |
| Hill Country Memorial Hospital | 232 | $11,322 | About average | $9,690 | $95,645 |
| AdventHealth Shawnee Mission | 182 | $11,324 | About average | $9,692 | $100,361 |
| Community Howard Regional Health Inc. | 45 | $11,324 | About average | $9,692 | $83,867 |
| Ascension St John Medical Center | 17 | $11,326 | About average | $9,694 | $65,487 |
| Integris Canadian Valley Hospital | 37 | $11,326 | About average | $9,694 | $117,257 |
| SSM Health St Anthony Hospital - Midwest | 31 | $11,326 | About average | $9,694 | $119,960 |
| Tristar Hendersonville Medical Center | 117 | $11,326 | About average | $9,694 | $83,588 |
| Tristar Horizon Medical Center | 18 | $11,326 | About average | $9,694 | $85,916 |
| Surgical Hospital Of Oklahoma | 49 | $11,326 | About average | $9,693 | $75,513 |
| Summit Medical Center, LLC | 30 | $11,326 | About average | $9,690 | $72,843 |
| Baptist Health Lagrange | 100 | $11,326 | About average | $9,690 | $111,855 |
| Tristar Southern Hills Medical Center | 36 | $11,326 | About average | $9,689 | $109,785 |
| Oklahoma Heart Hospital South, LLC | 41 | $11,326 | About average | $9,680 | $55,522 |
| Good Samaritan Hospital | 137 | $11,326 | About average | $9,694 | $40,893 |
| Presbyterian Hospital | 430 | $11,327 | About average | $9,693 | $46,631 |
| Cape Fear Valley Medical Center | 135 | $11,327 | About average | $9,695 | $45,909 |
| Henrico Doctors' Hospital | 478 | $11,330 | About average | $9,698 | $290,759 |
| Mercy Hospital South | 165 | $11,332 | About average | $9,700 | $28,867 |
| Ascentist Hospital LLC | 67 | $11,333 | About average | $9,701 | $83,218 |
| Barnes Jewish Hospital | 138 | $11,333 | About average | $9,699 | $58,774 |
| CHI Health Mercy Council Bluffs | 40 | $11,333 | About average | $9,701 | $54,402 |
| University Health Lakewood Medical Center | 54 | $11,334 | About average | $9,702 | $42,321 |
| Mountain View Regional Medical Center | 87 | $11,334 | About average | $9,702 | $142,062 |
| West Boca Medical Center | 36 | $11,335 | About average | $9,696 | $140,496 |
| Peterson Regional Medical Center | 270 | $11,335 | About average | $9,703 | $47,137 |
| Prisma Health Hillcrest Hospital | 20 | $11,339 | About average | $9,707 | $65,197 |
| Bronson Battle Creek Hospital | 116 | $11,339 | About average | $9,705 | $33,666 |
| Prisma Health Greer Memorial Hospital | 50 | $11,339 | About average | $9,703 | $66,318 |
| Lovelace Westside Hospital | 34 | $11,340 | About average | $9,706 | $91,955 |
| Stormont Vail Hospital | 632 | $11,340 | About average | $9,705 | $48,350 |
| Johnston Health | 81 | $11,341 | About average | $9,719 | $53,756 |
| Missouri Baptist Medical Center | 397 | $11,341 | About average | $9,707 | $45,029 |
| Sentara Virginia Beach General Hospital | 208 | $11,343 | About average | $9,711 | $48,831 |
National trend
Average payment and billed charge per procedure, and how many Medicare procedures were reported each year.
- Average payment
- Average billed charge
View data as a table
| Year of care | Average payment | Average billed charge |
|---|---|---|
| 2020 | $12K | $61K |
| 2021 | $12K | $66K |
| 2022 | $12K | $68K |
| 2023 | $13K | $71K |
| 2024 | $12K | $73K |
By state, 2024
Case-weighted average payment across each state’s reporting hospitals, lowest first.
Show all 50 states
| State | Hospitals | Cases | Average payment | Typical range |
|---|---|---|---|---|
| Vermont | 6 | 927 | $6,642 | $5,710–$7,857 |
| Alabama | 36 | 5,517 | $10,733 | $10,538–$10,928 |
| Mississippi | 25 | 1,977 | $10,843 | $10,672–$11,006 |
| Tennessee | 47 | 8,201 | $10,865 | $10,654–$11,195 |
| Louisiana | 44 | 5,417 | $10,909 | $10,733–$11,044 |
| West Virginia | 19 | 2,033 | $11,015 | $10,538–$11,114 |
| Ohio | 104 | 15,215 | $11,123 | $11,029–$11,497 |
| Oklahoma | 42 | 7,005 | $11,159 | $11,026–$11,326 |
| Arkansas | 28 | 5,195 | $11,206 | $11,043–$11,679 |
| South Carolina | 43 | 9,015 | $11,244 | $11,083–$11,366 |
| Kentucky | 42 | 5,097 | $11,263 | $10,995–$11,552 |
| Kansas | 34 | 6,049 | $11,345 | $11,166–$11,885 |
| Iowa | 29 | 5,825 | $11,405 | $11,208–$11,925 |
| Missouri | 53 | 8,629 | $11,419 | $11,333–$11,837 |
| Virginia | 55 | 13,156 | $11,531 | $11,183–$12,118 |
| Michigan | 73 | 8,557 | $11,535 | $11,319–$11,944 |
| Texas | 188 | 27,220 | $11,614 | $11,350–$11,866 |
| Georgia | 71 | 9,007 | $11,645 | $11,145–$12,011 |
| North Carolina | 65 | 11,812 | $11,652 | $11,347–$11,739 |
| New Mexico | 16 | 2,050 | $11,704 | $11,270–$12,005 |
| Utah | 32 | 3,863 | $11,712 | $11,479–$11,775 |
| Indiana | 64 | 9,630 | $11,754 | $11,642–$11,909 |
| Nebraska | 21 | 4,927 | $11,799 | $11,652–$12,128 |
| Florida | 133 | 23,438 | $11,799 | $11,730–$11,906 |
| Idaho | 15 | 2,954 | $11,894 | $11,784–$12,386 |
| Wisconsin | 56 | 7,721 | $11,921 | $11,695–$12,134 |
| Maine | 14 | 1,590 | $12,045 | $11,422–$12,212 |
| Pennsylvania | 105 | 17,854 | $12,207 | $11,693–$12,571 |
| Montana | 10 | 2,257 | $12,302 | $12,157–$12,991 |
| Illinois | 82 | 14,943 | $12,334 | $12,119–$12,518 |
| South Dakota | 13 | 3,867 | $12,387 | $12,258–$13,048 |
| North Dakota | 6 | 1,935 | $12,448 | $12,260–$12,787 |
| Colorado | 47 | 8,262 | $12,564 | $12,388–$12,511 |
| New Hampshire | 11 | 2,199 | $12,713 | $12,410–$12,672 |
| Minnesota | 42 | 6,532 | $12,735 | $12,361–$12,965 |
| Arizona | 47 | 9,066 | $12,802 | $12,653–$12,814 |
| Wyoming | 10 | 919 | $12,806 | $12,962–$13,194 |
| Delaware | 6 | 2,342 | $13,085 | $13,029–$13,172 |
| District of Columbia | 4 | 774 | $13,274 | $13,278–$13,444 |
| Rhode Island | 8 | 825 | $13,278 | $13,310–$13,335 |
| Washington | 43 | 7,875 | $13,453 | $13,133–$13,721 |
| Alaska | 6 | 992 | $13,858 | $13,747–$14,483 |
| Oregon | 29 | 3,599 | $13,939 | $13,452–$13,786 |
| Nevada | 16 | 2,147 | $13,956 | $13,488–$13,899 |
| Massachusetts | 43 | 9,382 | $13,997 | $13,872–$14,027 |
| New Jersey | 43 | 10,137 | $14,069 | $13,614–$14,536 |
| New York | 91 | 13,630 | $14,226 | $13,725–$14,676 |
| Connecticut | 23 | 3,597 | $14,579 | $14,481–$14,714 |
| Hawaii | 9 | 682 | $14,923 | $14,484–$15,494 |
| California | 164 | 27,002 | $16,486 | $15,996–$16,675 |
About these numbers
Average payment is what Medicare paid plus the patient’s deductible and coinsurance (and any other insurer), averaged over the hospital’s Medicare cases. It covers the hospital’s part of the care; doctors bill separately. For outpatient procedures it is Medicare’s allowed amount, which leaves out extra “outlier” payments for unusually costly cases; those are shown under the hospital name where CMS reported any, and included in the CSV. Billed charges are the hospital’s list prices, which few patients pay.
Medicare sets its payments by formula, adjusting for local wages, teaching programs, the share of low-income patients and unusually costly cases. Those adjustments drive most differences between hospitals, so a lower payment doesn’t mean better or worse care, and Medicare patients’ own costs usually vary much less than the totals. Private insurance pays different, usually higher, prices.
Source: CMS Medicare Outpatient Hospitals by Provider and Service (Medicare fee-for-service claims). CMS omits hospitals with fewer than 11 procedures. More in the glossary.